Shea R Stucky, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

00940 Issued in KS

Practice address

551 N Hillside St Ste 510
Wichita, KS 67214-4928

Phone

(316) 685-0559

Fax

(316) 685-0455

NPI assigned

Jun 7, 2006

Last updated

May 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1164462156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 510",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144928",
            "telephone_number": "316-685-0559",
            "fax_number": "316-685-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 510",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144928",
            "telephone_number": "316-685-0559",
            "fax_number": "316-685-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKY",
        "first_name": "SHEA",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "00940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klong@wichitaobgyn.org",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "551 N Hillside St Ste 510",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672144928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tina R Stuchlik, CCC-SLP
• Melody J Stuckey, LSCSW
• Blake Stucky
• Janet H Stucky, R.D. L.D.
• Rachel A Stucky, M.D.
• Tracy Stuever, LCMFT
• Barbara Stuhlsatz
• Morgan Michelle Stuke, APRN
• Cassandra Stull
• Jayla Gentry Stump

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.